Exam (elaborations)
NRSG 245 HESI Practice Exams questions with complete solutions.
- Course
- Institution
NRSG 245 HESI Practice Exams questions with complete solutions.
[Show more]
Content preview
NRSG 245 HESI Practice Exams questions with complete solutionsA client prescribed risperidone 10 mg/day for the past three months is being admitted to the hospital. Which physical assessment findings should the nurse report to the healthcare provider?
-Anorexia.
-Drowsiness and lethargy.
-Tremors and muscle twitching.
-Dry mouth, and constipation. CORRECT ANSWER Tremors and muscle twitching.
The nurse receives a unit of blood from the blood bank for a postoperative client who is currently in the X-ray department. Which action should the nurse implement?
-Return the blood to the blood bank for refrigeration within 30 minutes.
-Hang the blood transfusion as soon as the client returns to the unit.
-Store the blood bag in the nursing unit's refrigerator until the client returns.
-Take the unit of blood to the X-ray department to initiate the transfusion. CORRECT ANSWER Return the blood to the blood bank for refrigeration within 30 minutes.
A client is administered an injection of medroxyprogesterone acetate (Depo-
Provera). Which physical finding should the nurse instruct the client is an expected
side effect of the medication?
-Leg or calf pain. -Headaches or visual changes.
-Vaginal bleeding or spotting.
-Jaundice or angioedema. CORRECT ANSWER Vaginal bleeding or spotting.
A male client with meningitis is prescribed cefotaxime (Claforan) IV and asks the nurse why he cannot receive an oral drug, such as cefaclor (Ceclor) or cefadroxil (Duricef), that he has taken before for infections. How should the nurse respond when considering the actions of cephalosporins?
-Cefazolin (Ancef) is another IV antibiotic that can be prescribed.
-Cefaclor (Ceclor) is a good alternative to suggest to the healthcare provider.
-Cefadroxil (Duricef) is usually prescribed when the IV is discontinued.
-Cefotaxime (Claforan) provides therapeutic CNS concentrations. CORRECT ANSWER Cefotaxime (Claforan) provides therapeutic CNS concentrations.
The healthcare provider (HCP) prescribes a medication for an older adult client who is reporting insomnia, and the HCP instructs the client to return in two weeks. The nurse should question which prescription?
-Zolpidem (Ambien) 10 milligrams orally at bedtime.
-Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
-Temazepam (Restoril) 7.5 milligrams orally at bedtime.
-Ramelteon (Rozerem) 8 milligrams orally at bedtime. CORRECT ANSWER Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
A mother of a child prescribed methylphenidate hydrochloride for attention-deficit hyperactivity disorder (ADHD) informs the school nurse she administers the medication at bedtime. Which instructions should the nurse recommend? -Continue administering the medication dose at bedtime.
-Give the medication when the child arrives at school.
-The medication should be taken with meals.
-Administer the medication at least six hours before bedtime. CORRECT ANSWER Administer the medication at least six hours before bedtime.
A client prescribed cyclosporine for the past nine months to prevent renal allograft rejection has a blood urea nitrogen level of 36 mg/dL. Which additional finding should the nurse notify the healthcare provider?
-Hemoglobin level of 16.8 g/dL.
-White blood cell count level of 10,000.
-Creatinine level of 2.8 mg/dL.
-Potassium of 4.2 mEq/L. CORRECT ANSWER Creatinine level of 2.8 mg/dL.
A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction?
-Drink fluids between meals to relieve gastric distress.
-Monitor for an increase in blood pressure during therapy.
-Dissolve capsule contents in fruit juice for easier ingestion.
-Take at same time each day one hour before eating a meal. CORRECT ANSWER Take at same time each day one hour before eating a meal.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now